METHOD FOR SURGICAL TREATMENT OF IDIOPATHIC EPIRETINAL FIBROSIS WITH PRESERVATION OF FOVEAL FRAGMENT OF INTERNAL LIMITING MEMBRANE Russian patent published in 2019 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to ophthalmology. For the surgical treatment of the idiopathic epiretinal membrane (iERM), three-port chromovistrectomy is carried out using a Triamcinolone acetonide dye, contrasting epiretinal membrane with dye membrane blue 0.15 %, removal of epiretinal membrane, contrasting of internal limiting membrane (ILM). Using endovitreal tweezers, the ILM is gripped by pinch 2–3 mm from the lower temporal arcade, and a flap is formed, the ILM is separated in the direction of the fovea center, not 1.0–2.0 mm to the fovea zone. Then the direction of ILM separation is changed and the flap is drawn along an arch of an imaginary circle of diameter 5 mm as circular maculorexis, leaving an intact foveal fragment of ILM 2.5–3.5 mm in diameter. Operation is terminated by removing the ports.

EFFECT: method provides eliminating retinal tractions, reducing traumatism of the surgical intervention, preserving the anatomical profile of the fovea region, faster achieving maximum visual acuity, reducing the rehabilitation period and improving the quality of vision of the patients.

1 cl, 3 ex